| NPI | 1205031663 |
|---|---|
| Doing Business As | MISSION TRAILS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRADLEY A. ROSS President 619-582-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34414) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2020-08-22 |